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General NPI Number Information
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NPI Number | 1720294481
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Entity Type | Individual
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Provider Name | LUCINDA KAY CARDWELL MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 546 TENSAS TRCE
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City | MILTON
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State | GA
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Zip | 30004-5832
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Country | US
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Telephone | 678-644-0418
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Fax |
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Provider Business Mailing Address
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Address Line | 546 TENSAS TRCE
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City | MILTON
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State | GA
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Zip | 30004-5832
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Country | US
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Telephone | 678-644-0418
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 567
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMT0000000194
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT000903
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License Number State | GA
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